NPI | 1114128527 |
---|---|
Former Name | DEBORAH ALICIA CUMMINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2008-01351) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME99501) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2011-05-24 |